超声MicroPure成像技术联合mSMI对TI-RADS3、4级结节的鉴别诊断价值

王月红; 温德惠; 刘翔宇; 李小娟; 李月华; 薛刚

doi:10.13201/j.issn.1001-1781.2017.03.004

超声MicroPure成像技术联合mSMI对TI-RADS3、4级结节的鉴别诊断价值

- 1. 河北北方学院(河北张家口, 075000);
- 2. 河北北方学院附属第一医院超声医学科;
- 3. 河北北方学院附属第一医院耳鼻咽喉头颈外科

详细信息

通讯作者: 温德惠,E-mail:lucky0726cindy@163.com

中图分类号: R581

收稿日期: 2016-10-20

Assess the diagnostic value of MicroPure system with ultrasonography combined with mSMI in diagnosing thyroid nodules in TI-RADS 3 and 4

- 1. Hebei North University, Zhangjiakou, 075000, China;
- 2. Department of Ultrosonography, the First Affiliated Hospital of Heibei North University;
- 3. Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Hebei North University

More Information

Corresponding author: WEN Dehui, E-mail: lucky0726cindy@163.com

Received Date: 20 October 2016

摘要

摘要: 目的:探讨超声MicroPure成像技术联合灰阶模式超微血流成像(mSMI)技术对甲状腺影像学报告及数据系统(TI-RADS)3、4级结节的鉴别诊断价值;比较常规二维超声与MicroPure成像技术对甲状腺结节内微小钙化的检测能力;并比较CDFI与mSMI对甲状腺结节的诊断效能。方法:运用常规二维超声+彩色多普勒血流显像技术(CDFI)筛选出TI-RADS 3、4级结节患者86例,共106个结节(TI-RADS3级64个;TI-RADS4级42个),对每个甲状腺结节依次进行常规二维超声+CDFI+MicroPure成像技术、常规二维超声+mSMI+MicroPure成像技术显像检查,并与细针穿刺抽吸及术后病理结果对照,比较常规二维超声与MicroPure成像技术对甲状腺结节内微小钙化的检测能力;比较CDFI与mSMI对甲状腺结节血流显像的诊断效能;比较上述3种诊断模式对TI-RADS3、4级结节的鉴别诊断价值。结果:①与常规二维超声+CDFI、常规二维超声+CDFI+MicroPure成像技术2种诊断模式相比,常规二维超声+mSMI+MicroPure成像技术的诊断模式诊断甲状腺恶性结节的敏感度(91.44%)最高(P<0.05);②MicroPure成像技术对甲状腺结节内微小钙化的检出能力高于常规二维超声(P<0.05);③mSMI对甲状腺结节血流的检出率以及微血管的形态、分布的显示能力均高于CDFI(P<0.05)。结论:超声MicroPure成像技术联合mSMI能够提高对TI-RADS3、4级结节诊断的准确度,从而为临床对于患者病情的评估以及治疗方式提供进一步的诊断依据。
- 灰阶模式超微血流成像技术 /
- 超声MicroPure成像技术 /
- 甲状腺结节
Abstract: Objective:To assess the diagnostic value of MicroPure system with ultrasonography combined with mSMI in diagnosing thyroid nodules inTI-RADS3 and 4; to compare the testing capability in thyroid nodules micro-salcifications between MicroPure system and grey-scale ultrasonography; and to compare the diagnostic efficiency between mSMI and color doppler flow imaging(CDFI).Method:Exerting gery-scale ultrasonography and CDFI to choose 86 patients with 106 nodules (64 TI-RADS3 class nodules; 42 TI-RADS4 class nodules). These thyroid nodules were detected by grey-scale ultrasonography, CDFI, MicroPure system with ultrasonography, mSMI, and they were graded by TI-RADS. Then the ultrasound diagnosis value were compared with their FNA and surgical pathology results by gery-scale ultrasonography and CDFI; grey-scale ultrasonography and CDFI and MicroPure system; grey-scale ultrasonography and mSMI and MicroPure system, and diagnostic efficiency between mSMI and CDFI were compared, and the detectability of thyroid nodules micro-salcifications between MicroPure system and grey-scale ultrasonography.Result:The results showed that combination of MicroPure system and mSMI had a higher sensitivity (91.44%, P<0.05); The MicroPure system showed a higher testing capability compare to grey-scale ultrasonography in thyroid nodules micro-salcifications (P<0.05); The mSMI showed a higher sensitivity compared to the CDFI(P<0.05).Conclusion:Combining mSMI and MicroPure system could improve the discreminability of TI-RADS3, 4 class thyroid nodules, then provide evidence to assess,diagnosis and treat the patients in clinical.
- monochrome super micro vascular imaging /
- MicroPure system with ultrasonography /
- thyroid nodule

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